| Central Jersey Pulmonary & Medical Associates, Llc | |
|
719 N Beers St Suites 2e & 2f Holmdel NJ 07733 | |
| (732) 264-1001 | |
| (732) 264-4495 |
| Full Name | Central Jersey Pulmonary & Medical Associates, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 719 N Beers St, Holmdel, New Jersey |
| Authorized Official Name and Position | Sam T Bebawy (DR OWNER) |
| Authorized Official Contact | 7322641001 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Central Jersey Pulmonary & Medical Associates, Llc 719 N Beers St Suites 2e & 2f Holmdel NJ 07733 Ph: (732) 264-1001 | Central Jersey Pulmonary & Medical Associates, Llc 719 N Beers St Suites 2e & 2f Holmdel NJ 07733 Ph: (732) 264-1001 |
| NPI Number | 1710958244 |
|---|---|
| Provider Enumeration Date | 02/01/2006 |
| Last Update Date | 07/28/2011 |
| Medicare PECOS PAC ID | 1557326360 |
|---|---|
| Medicare Enrollment ID | O20041122000225 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710958244 | NPI | - | NPPES |
| 0050687 | Medicaid | NJ |
| Provider Name | Sam Bebawy |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1396717971 PECOS PAC ID: 3870771470 Enrollment ID: I20110630000294 |
| Provider Name | Elie Mansour |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1356314280 PECOS PAC ID: 4880867910 Enrollment ID: I20111128000286 |
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